[Oculomotor paralysis and Lyme disease].
Lyme disease is an infectious multi system disorder caused by the spirochète Borrelia Burgdorferi. Neurologic syndromes occurring during the second stage of the illness are common and the neurologic feature is extremely variable. We report a case of Lyme disease with diplopia. In contrast with most reported cases of ocular motor involvement in Lyme disease, no other systemic symptoms were detected. The serodiagnosis, although mildly positive, was confirmed by western blot antibodies analysis and evaluation of CSF antibodies. Symptoms readily vanished 3 days after the introduction of antibiotherapy. The efficacity of antibiotic therapy on the quality and timing of functional recovery justifies the use of this therapy.
Bienvenot
M
M
Clinique Ophtalmologique, Hôpital Civil, Strasbourg.
Tranchant
C
C
Flament
J
J
Warter
J M
JM
Sahel
J
J
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003389:Cranial Nerve Diseases / Q000209:etiology; D004172:Diplopia / Q000209:etiology* / Q000628:therapy; D005260:Female; D006801:Humans; D008193:Lyme Disease / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D009422:Nervous System Diseases / Q000209:etiology; D012698:Serologic Tests
D000900:Anti-Bacterial Agents
Paralysie oculomotrice et maladie de Lyme.